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HomeMy WebLinkAbout13254 (27) _�__ CITY OF DIAMOND BAI� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � w 21660 E.Copley Drive Suite 190 (909)860-3195Fax(909)861-31t7 PRESS �A�...� BTJILDING PERIVIIT APPLICATION FIRMI.Y o ADDRESS�b,�� ,.; y C�(L i p� � , _ (� APPLICATION PERMIT � P/C �-^ ��` t d^°�4'��� DATE NUM6ER�;,..�� # p OWNER � TR ISSUE TYPE OCC � APN LOT ACT-��O �k�U DATE � �� �CONST. GROUP p ADDRESS_ St�llddrd PdCif1G O£Q.C. ZONING SETBACKS gCrrY '' l 5£,5 W.Mac Arfliuz B1vd. FRON� Rw ❑ APPLICANT : REAR ❑T— Z Costa 1�Zesa,Ca.92626(714}i46-1t63 SIDE/SII�ESTREET RW ❑ � .C�NTRAC70�_ — — __ SIDE Q , Q ADDRESS_ ��lso�r,I1,1C,. PROPOSED USE � CtrY 29736 Ave.de las Banderas o `ARCH/ENG!� Rncho. Snta.Marg.92688(949}589-Z021 I �z rDESIGNER NO.DWEL. NO, NO. ----- a ADDRESS UNITS STORIES,. 8EDR00'MS � CITY ZIP TEL. y " DESCRIPTION SQ.FT. FACTOR PSF ADJ:AREANALUATIdN ,,p� , OWNER-BUILDER DECLARATION � . SFR/A�O/REM �- � -� � � � � O []', I HEHE6Y AFFlFiM UNOFA PENALN OF PERJUHY THAT I AM EXEMPT FRON THE COMRACTOflS U• Ggf898JC8fP01t � W CENSELAWFORTHEFOILOWING'�,REASON(SEC.7031.58USINESSPNDPRbFESSIONSCODE:ANVCINOR ' '(f� U , ,�'OVryiyy@1�Ck{pEp�IRESAPEflMITNCONSTRUCT,PLTEfi,MPqOYE,�EMOLISH,ORqEPAIRANYSTRUP ,' W P3tjOIDeCIC ���TURE',PRIDR TD ITS ISSUANCE,N.50 REQIIIHES THE APPLICANT FOfl SUCH PERMIT TO FILE A SIGNED - ,�W'� STATEMENT THqT HE OR SHE IS LIGENSE�PURSUAN7 TO 7HE PROVISIONS OF THE fANTAACTORS LI� � W ,�,, CENSE LAW(CHAPTER B(COMMENCINO WITH SECTION 7000)OF DNISION 90f THE BU$INESS AND PRO,' ' � POOUSPB � FESSIONSCOUE)ORTHATHEORSHEISE%EMPTTNEREFRDMANOTHE6ASISFOHTHEALLEGE�EXEMP• � . (� �; TION.ANYVIOLATIONOFSECTION7031.6BYANVAPPLICANTFORAPEflMITSU&IECT6THEAPPLICANTTO �Z RC-R001 � . 'ACIVILPEN/LLIYOFNOTMORETHAPI'FIVEHUNDFEUOOLLpftS(5500)J:" '- - - ' Q, ❑I,ASOWNEflOFTHEPROPERT;,ORMYEMPLOYEESWITHWAGESA57HEIRSCLECAMPENSATION, � COI11RI01'CI81 � . � ' .Z..� WILLDD.THE WORK,�ND THE STqUCTURE IS NOT INTEN�ED OR OFFERED FOfl SALE(SEC.704d,BUSI� J , �' ' NE59 AND PROFESSION3 CODE:SHE CDNTflACTORS�LiCENSE LAW DOES NOT APPLY TO AN OWNEfl OF� � j PHOPEPiY NAiOBUILOS OR IM7ROVES THEREON.AND NMO�OHS SUCH WORK HIMSEI.FOR HERSELF OR � Q" "THFqUf3HHISORHER�OriNEK1PLOYEES,PROVIDEDTHATSUCHIMPflOVEMENTSARE'NOTNTENOEDOR m ' ' � � ' � .W. �. OFFEREDWHSALEIF,HOWEVERhIEBUIL�MGDRIMPROVEMENTIS50LDWITHINONEVEAROFCAMPL6 � ���, ��'TION,THE OWNEF�BUILDER WILL HhYE THE BUflDEN OF�PROVING�THAT HE oq SHE DID NOT BUILD OR . . . . , . �, IMPROVEFORTHEPURPOSEpFSALE). �� ,�J;�, ' CI,ASOWNEfiOF7HEPflOPEfl7Y.AMEXC1.U51VELVCONTRACTINGWITHLICENSEDCANTRACTORS (',T„' TO CONSTiiUCT THE PROJECT($EC.7044,BUSINE5S p,ND PHOFESSION5 CODE:THE CONTPqCTOHS LI. . VBIIJ8Ci0f1 HDJ.AREA ��. �� � � � W .CENSELAWDOE5NOTAPPLYTOANOWNEROFAPflOPEATY'NHOBUILOSORIMPFOVESTHEREON,ANO � ������,�WVi00]WTMCTSFORSUCHPFOJECTSWITHACONTRACTOR�S)LICENSEDPURSUAM707HECON7RAC- ' QUANTITY DESCRIPTION � ' ' ' FEE' � � TORSIJCENSEUW). . . . .. . . . . ,. , ���'I �. .O IAM IXEMPT UNDER SEC. . � 8.&F.C.FOR THIS REASON ��Q . �..'. � , , ' L4. � �RTE OWNEF, " U � ..:�°,'. . . .. ... , . W .. ' ��[ LICENSED CONTRACTORS DECLARATION � CY I HEq�V AFFIpM UNDER PENALTY OF PERJURY THAT IAM LICENSEO UNDER PROVISIONS OF CHApTEA � � ' ���d��e(C9MMENCINOWITHSECTION7o00)OfDIV13�N90FTHE0USINE35AN�PROFE3510NSCODE,AND . Z ' IAY UCENSE IS IN FULL FORCE AND EFCF Y. ' �a LICENSE ClASS ���'✓ LIC,NO. �� ` �.. j � 2 �1 -�y� J�. � /� n� J ►— a 'V� DATE_��7' iJl' q'/S�6V--� CONTPACTOR_� ir��>.�K�:. �- � � ���� W � WORKERS'COMPENSATION OEG�RATIOfd � ^.-• � . �� IHEREBYAFFIRMUNDERPENALTYOFPERJURYONEOFTHEFOLLOWINODECURA710NS: ' Z - - ' ' ' 1 6 �� Q�, __IHAVEANDWiLLMAINTAItYACEHIIFICATEOFCONSENTTOSELF•INSUREFORWORKERS' _ /�/�� � rp^ � Q COMPENSATION,ASPROVIDEDBYSECTItTd37000FTHELABORCODE,FORTHEPERFORMANCE IU � � CJ�'""'� ' V�� +�� OF THE WDRK FqR WHICH 7HI5 PERMIT IS ISSUE�. _ g L1] �I HAVEAND WILL MAINTAIN WORKEpS'COMPENSATION IN5URANCE,AS REOUIRED BY SECTION Q 37a00FTHELA90RCO0E,FOflTHEPEFiWRMANCEOFTHEWORKFORWHICHTHISPERMITIS ISSUED.MYWORKERS'WMPENSATION'INS[1RpNCECARR+IERAIJ�POLICYnNUMBERARE: CONSTRUCTION j cnFSRien�C���g����/`-�� � PLAN REVIEW� � � �� POLICY NUMBER ELECTflIC Q� � . . .�r. ��, , . .� r, � (Ik11SSECTI0NNE81NOT8ENMAfTEDOFTI-E � FOflONEHUPDRED (510o)ORL6551 PLUMBING ';�.i,> � I CEqTIFYTHAT INTHE PERFORMANCE O,FT�IE WORK FOR WHICH THIS PEPMIT IS ISSIJED,I� MECHANICAL �� SHAILNOTEMPLOYANYiER50NINANVMANNERSOA5708ECOMESUBJECTTOTHE ' � WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGR nr�FisNou�oeEcoMe � INSPECTION FEE �"' SU&IECTTOTHEWORKEflS COMP ROVIS ECTIO 37000 T BOR� '� y �} i,� S� �ISHAIiFORTHWI7NC0 VW ���� � ISSUANCE __�_o� 4� k � �o In� � ''. '' T . �- �'� t�.. DATE:(t��'APPU T: :- �.,�..... , .SMIP.. . a , as:��.a_,����a'"�$�. � ., ��'�a��� y� gnr'" �� ""��� WARNINGFAILURETOSECUREWORkERS' �NS COVEHAGEISUNLAWFUL.ANDSHALLBE ENERGYP/C � �'� rt .z��.�e,,.b"X.��� ' �� SU&IECTAN EMPCOYERTO CF�MINA4.,PENALTIES AN CIVIL FINES UPTOONE HUNDRED THOUSAND� � .';.�,'�,J��'.3.�'�'�`�°^-�'t�''� �" OOLLARS(f100,000�,INA��ITION70TH�COSTQFCOMPENSATION.DFMAGE5A5PROVIOE�FORIN ENERGYPERMIT ���: SECTION37080FTHELABORCODE,iNTEREST,ANOATTORNENS'FEES. ��� RETENTIONFEE: � �. CONSTRUCTION��LENDING AGENCY , PRE-ALT FEE: 0; � ,��.,� IHEREBVAFFIRMUnDEPPENAITYOF,P6qJUFiYrTHATTHEREISACON$TRUCTIONLEN�INGAGENCY �' � � � WRTHE PEflFOFIMANCE OFTHE WORK FOR WHICFI THIS PERMIT IS ISSUE�(SEQ 30W,CIY.C.).�'� , � �. �' ' '' ' . . '� .. , . �LENDER'3 NAME��� ',�. hv�.�: LENDER'SAOOFESS � I CEATIfV THAT 1 HAVE REA�THIS APPLICATI N AND STpTETHAT'7'HE ABOVE MFOqMATIdJ IS CORHECT. TO 1 AL FEES � I'���� ��; I FGRF'TO CAMPLY WITH ALLCIlYANO COLINTY OItDINANCE5AtJ0 STATE LAWS REtATING TO B�IIL�MG L� V �,� . CONSTRUC710N,ANOHEREBY�qUTHORIZEREPRESENTATIVE50FTHISCOUNTYTOENTEHUPONTHE � . � ' � A80VE-MENTION�D PR�PEH � OR INSPECTION PU OSES. � . ' � ' COMMENTS � �l. , �� m PEAMITTE NAA1E ��,' „{ , II?'' ��Ili.„ . . . ,. . . � , � '�y�, SIGNATUREOF E ' ' � DATE �, � .".—=r� � ' RECPT.NO. PAID BY ��VALIDATION�� � ~ � � '� � WHITE-�epanment Copy,YELCOW—FinanGe�Copy,�PINK—Assessor Copy,GO ENROD—FileCopy,GREEN—ApplicanPs Copy . � ��`�� � �� . � ���g �� ��' � �� :.: Fs p , ' .��� .: � b . . . � f :�� m �',��'.. .. i ,�...� '�' �.;. , �� � k ...�.' �.�' � � '_.' q �'°`��.`.�i.:8�am,:'� � � �` _:�. � .�._JI I �L�s,�.r3 ��.�C,s�'"9� � } �, � � ';. ��,.� W ��t� ��� gi`'� ...,�__ ---_•._, o-" �''=[���1�.r � _` � .r _� � . .. . V� € � t�,.��.�' � a,.�;�e�=��' ' � `. 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